Doctor insights on:
Para Cardiac Pneumonia
My chest xray accentuated broncho-pulmonary vascular markings at para cardiac region for clinical correlation what is that mean ??
In this age, likely x ray technique or reader overcall. Bronchial thickening can be acute (allergic or infectious bronchitis, poss. asthma) or chronic (a component of COPD (really doubt under 30 yo)). Vessels can be prominent due to heart failure (usu. upper lung, in aged). > vessels on the rt. ?pectus, AKA pigeon chest.
?prior films and mostly clinical assessment w/ Pulmonary or Internal Med. ...Read more
Do u have to have a cough with pneumonia because I was having chest pain sob ruled out cardiac but found pneumonia on cxr but had no cough?
Pn can have odd sx: I have had kids with pneumonia who's only sx was pain near their shoulder blade in the back. Xrays showed a patch of pneumonia in the lung closest to the same shoulder. Pneumonia is occasionally hard to pickup in it's early stages & with early treatment may have minimal fever or cough if any.Sob and rapid breathing are the normal reason i get a cxr even if i can't hear a problem on exam. ...Read more
Severe chest pain led me to ER. Admitted with CAP! Had same pain before but no pneumonia. ECG revealed flattened T waves. Do I have cardiac problem?
Follow up...: You need to see a Cardiologist for testing and evaluation. There is no way to surely tell you without formal evaluation. However, flattened T waves suggest there could be a cardiac issues going on but other tests: stress test, echocardiogram, cardiac catheterization may provide a more reliable answer. If you get recurrent chest pain then you should go to the ED. ...Read more
Can pneumonia cause muscular paralysis or cut off circulation? I feel as though I am constantly coughing up mucus which stiffens my muscles otherwise
No: Best to consult your doctorGet a more detailed answer ›
Had cardiac ablation for afib. Now have been diagnosed with vagus nerve paralysis and diaphragm from the procedure. Should I seek neuro or gastric spe?
Vagus nerve: Likely both specialists would have relevant input into your situation depending ob symptoms ,if any. ...Read more
82y/o w/ community acquired pneumonia&coronary artery disease given 1l normal salinesolution in just 2 hours, is fluid overload a possible complication?
Rarely: If he has a normal kidney he should be able to .Eliminate the excess water soon. ...Read more
82 y/o has community acquired pneumonia, moderate risk&coronary artery disease.Iv fluid normal saline solution 1lgiven in just2 hours what will happen?
I have 3 weeks cough and in my x- ray result I have right paracardiac pneumonitis. Please explain the what it means by right paracardiac pneumonitis.
Pneumonitis/ Pneumon: This report indicates that you have a small patch of Pneumonia located next to your heart(on the right side). If you have symptoms of pneumonia your doctor would/should have given you an antibiotic. Do you have any fever or chest pain?? Call up your doctor for antibiotics, if not already given. ...Read more
Lots of things: Lots of things can cause pneumonia, which is an infection of the lung. Bacteria, viruses & fungi can all cause pneumonia. However, so can aspiration which occurs when choking on something, typically stomach contents. Appropriate vaccines are very useful in decreasing certain, but not all, pneumonias. ...Read more
From infected person: Most of the pneumonias are caused by a viral or bacterial infections. You usually get them from someone who has a respiratory infection, not necessarily pneumonia, by cough or touch hand contact. There are rare pneumonias like Legionaire disease and non-infectious pneumonias that has different mode of transmission. ...Read more
Hx,Exam+/- xray: Physicians generally combine features of a presenting history with a physical exam & may be able to DX pneumonia on that basis. It's a bit harder in kids who can have one you cannot hear on physical exam, so xrays are often required. Many times an xray will be obtained to confirm what is suspected & may help define the probable germ & best treatments. ...Read more
Recurrent Pneumonia: One common cause is misdiagnosis. Not knowing your case, i can't say this is what's going on, but a lot of disease get called "pneumonia" when in fact there is something else going on. There are some cause of recurring pneumonia however such as immunological system deficiencies, aspiration (choking bacteria into the lungs), and underlying lung diseases that haven't been diagnosed. See a lung doc. ...Read more
Many causes: You may have a predisposition to infection because of a poor immune system. This can be acquired, inherited or simply due to bad habits....Such as too little sleep, drinking alcohol, too much stress including over exercise. Most physician would test your immune system with blood test and look for medical conditions that may be associated with infection, like COPD or diabetes. ...Read more
Gotten outside hosp: Community aquired pneumnonia is a term used by doctors to decribe pneumonia in those who have not been in a hospital recently. Patients in the hospital are exposed and pick up germs, and can get pneumonia with bacteria that do not typically cause pneumonia in others. Cap is a pneumonia that can be aquired by anyone. Symptoms are similar, the bacteria responsible & thus antibiotic selection differs. ...Read more
Pneumonia: If you no longer have fever, cough, sputum production, chest pain, shortness of breath or other symptoms you are cured. Repeating the chest film is nearly worthless because it takes the body long times to clear up all the inflammation, despite the fact that the infection has been eliminated. ...Read more
Depends on patient: The typical symptoms include fever, productive cough, often sudden onset symptoms, shortness of breath, sharp chest pain with breathing but in patients who are older or have chronic disease(diabetes, heart failure, copd) the symptoms can be be more subtle and insidious in onset. ...Read more